Pelvic intraoperative neuromonitoring during robotic-assisted low anterior resection for rectal cancer

被引：13

作者：

Grade M. ^{[1
]}

Beham A.W. ^{[1
]}

Schüler P. ^{[1
]}

Kneist W. ^{[2
]}

Ghadimi B.M. ^{[1
]}

机构：

[1] Department of General, Visceral and Pediatric Surgery, University Medical Center, Robert-Koch-Str. 40, Goettingen

[2] Department of General, Visceral and Transplant Surgery, University Medical Center, Langenbeckstraße 1, Mainz

来源：

Journal of Robotic Surgery | 2016年 / 10卷 / 2期

关键词：

Autonomic pelvic nerves; Intraoperative neuromonitoring; Low anterior rectal resection; Nerve-sparing total mesorectal excision; Rectal cancer; Robotic surgery;

D O I：

10.1007/s11701-015-0556-6

中图分类号：

学科分类号：

摘要：

While the oncological outcome of patients with rectal cancer has been considerably improved within the last decades, anorectal, urinary and sexual functions remained impaired at high levels, regardless of whether radical surgery was performed open or laparoscopically. Consequently, intraoperative monitoring of the autonomic pelvic nerves with simultaneous electromyography of the internal anal sphincter and manometry of the urinary bladder has been introduced to advance nerve-sparing surgery and to improve functional outcome. Initial results suggested that pelvic neuromonitoring may result in better functional outcomes. Very recently, it has also been demonstrated that minimally invasive neuromonitoring is technically feasible. Because, to the best of our knowledge, pelvic neuromonitoring has not been performed during robotic surgery, we report the first case of robotic-assisted low anterior rectal resection combined with intraoperative monitoring of the autonomic pelvic nerves. © 2015, The Author(s).

引用

页码：157 / 160

页数：3

共 15 条

[1]

Cunningham D., Atkin W., Lenz H.J., Lynch H.T., Minsky B., Nordlinger B., Starling N., Colorectal cancer, Lancet, 375, 9719, pp. 1030-1047, (2010)

[2]

Wallner C., Lange M.M., Bonsing B.A., Maas C.P., Wallace C.N., Dabhoiwala N.F., Rutten H.J., Lamers W.H., Deruiter M.C., van de Velde C.J., Causes of fecal and urinary incontinence after total mesorectal excision for rectal cancer based on cadaveric surgery: a study from the cooperative clinical investigators of the Dutch total mesorectal excision trial, J Clin Oncol, 26, 27, pp. 4466-4472, (2008)

[3]

Lange M.M., van de Velde C.J., Urinary and sexual dysfunction after rectal cancer treatment, Nat Rev Urol, 8, 1, pp. 51-57, (2011)

[4]

Emmertsen K.J., Laurberg S., Impact of bowel dysfunction on quality of life after sphincter-preserving resection for rectal cancer, Br J Surg, 100, 10, pp. 1377-1387, (2013)

[5]

Andersson J., Abis G., Gellerstedt M., Angenete E., Angeras U., Cuesta M.A., Jess P., Rosenberg J., Bonjer H.J., Haglind E., Patient-reported genitourinary dysfunction after laparoscopic and open rectal cancer surgery in a randomized trial (COLOR II), Br J Surg, 101, 10, pp. 1272-1279, (2014)

[6]

Collinson F.J., Jayne D.G., Pigazzi A., Tsang C., Barrie J.M., Edlin R., Garbett C., Guillou P., Holloway I., Howard H., Marshall H., McCabe C., Pavitt S., Quirke P., Rivers C.S., Brown J.M., An international, multicentre, prospective, randomised, controlled, unblinded, parallel-group trial of robotic-assisted versus standard laparoscopic surgery for the curative treatment of rectal cancer, Int J Colorectal Dis, 27, 2, pp. 233-241, (2012)

[7]

Kauff D.W., Koch K.P., Somerlik K.H., Hoffmann K.P., Lang H., Kneist W., Evaluation of two-dimensional intraoperative neuromonitoring for predicting urinary and anorectal function after rectal cancer surgery, Int J Colorectal Dis, 28, 5, pp. 659-664, (2013)

[8]

Kneist W., Kauff D.W., Juhre V., Hoffmann K.P., Lang H., Is intraoperative neuromonitoring associated with better functional outcome in patients undergoing open TME? Results of a case-control study, Eur J Surg Oncol, 39, 9, pp. 994-999, (2013)

[9]

Kneist W., Kauff D.W., Rubenwolf P., Thomas C., Hampel C., Lang H., Intraoperative monitoring of bladder and internal anal sphincter innervation: a predictor of erectile function following low anterior rectal resection for rectal cancer? Results of a prospective clinical study, Dig Surg, 30, 4-6, pp. 459-465, (2013)

[10]

Kneist W., Kauff D.W., Lang H., Laparoscopic neuromapping in pelvic surgery: scopes of application, Surg Innov, 21, 2, pp. 213-220, (2014)

← 1 2 →